| NPI | 1639826605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKISHA CHANTEL HUDSON Owner, CEO 423-437-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 102L00000X Psychoanalyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YS0200X Counselor, School | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2023-12-18 |